West Harbour Gardens
Profile & contact details
|Premises name||West Harbour Gardens|
|Address||315 Hobsonville Road Hobsonville Auckland 0618|
|Service types||Geriatric, Medical, Dementia care, Physical, Intellectual, Rest home care|
|Certification/licence name||Sunrise Healthcare Limited - West Harbour Gardens|
|Current auditor||Health and Disability Auditing New Zealand Limited|
|End date of current certificate/licence||22 August 2021|
|Certification period||36 months|
|Provider name||Sunrise Healthcare Limited|
|Street address||45 William Denny Ave Westmere Auckland 1022|
Progress on issues from the last audit
What’s on this page?
This rest home has been audited against the Health and Disability Services Standards. During the last audit, the auditors identified some areas for improvement.
Issues from their last audit are listed in the corrective actions table below, along with the action required to fix the issue, its risk level, and whether or not the issue has been reported as fixed.
A guide to the table is available below.
Details of corrective actions
Date of last audit: 22 January 2020
|Outcome required||Found at audit||Action required||Risk rating||Action status||Date action reported complete|
|The use of enablers shall be voluntary and the least restrictive option to meet the needs of the consumer with the intention of promoting or maintaining consumer independence and safety.||The restraint folder and register is not well maintained with accurate numbers documented.||Ensure that there is an accurate record of restraint and enabler use maintained with relevant records retained.||PA Low||Reporting Complete||30/06/2020|
|A medicines management system is implemented to manage the safe and appropriate prescribing, dispensing, administration, review, storage, disposal, and medicine reconciliation in order to comply with legislation, protocols, and guidelines.||(i) Temperatures of medication fridges in both treatment rooms were not recorded. (ii) Medications room temperatures have not been recorded.||(i)-(ii) Ensure the temperatures of the medication room and fridges storing medications are recorded and within ranges.||PA Low||Reporting Complete||30/06/2020|
|An up-to-date complaints register is maintained that includes all complaints, dates, and actions taken.||Five of the nine complaints reviewed did not include documentation to evidence resolution.||Ensure the complaints register records complaints, timeliness of actions with documentation confirming communication to the complainant retained.||PA Low||Reporting Complete||30/06/2020|
|The provision of services and/or interventions are consistent with, and contribute to, meeting the consumers' assessed needs, and desired outcomes.||(i). There were no interventions of NG tube management, advice from the dietitian, and associated risks documented in the care plan for caregivers to follow for a hospital level resident with intellectual disabilities. (ii). Five of five unwitnessed falls did not have neurological observations completed as per policy. (iii). The turning chart not consistently completed for a hospital level resident with a current pressure injury.||(i). Ensure all required information and instructions are documented in the care plans around the maintenance and management of the NG tube. (ii)- (iii). Ensure all monitoring charts are completed as per policy or have been reviewed by an RN prior to discontinuing.||PA Low||Reporting Complete||08/07/2020|
|Each stage of service provision (assessment, planning, provision, evaluation, review, and exit) is provided within time frames that safely meet the needs of the consumer.||(i) Six of six ARC files reviewed did not have interRAI assessments and care plans completed or reviewed within expected timeframes. (ii) Four of the ARC care plans were not completed in line with the interRAI assessment.||(i)-(ii) Ensure interRAI assessments and care plans are developed within expected timeframes.||PA Moderate||Reporting Complete||08/07/2020|
The outcome required by the Health and Disability Services Standards.
Found at audit
The issue that was found when the rest home was audited.
The action necessary to fix the issue, as decided by the auditor.
Whether the required outcome was partially attained (PA) or unattained (UA), and what the risk level of the issue is.
The outcome is partially attained when:
- there is evidence that the rest home has the appropriate process in place, but not the required documentation
- when the rest home has the required documentation, but is unable to show that the process is being implemented.
The outcome is unattained when the rest home cannot show that they have the needed processes, systems or structures in place.
The risk level is determined by two things: how likely the issue is to happen and how serious the consequences of it happening would be.
The risk levels are:
- negligible – this issue requires no additional action or planning.
- low – this issue requires a negotiated plan in order to fix the issue within a specified and agreed time frame, such as one year.
- moderate – this issue requires a negotiated plan in order to fix the issue within a specific and agreed time frame, such as six months.
- high – this issue requires a negotiated plan in order to fix the issue within one month or as agreed between the service and auditor.
- critical – This issue requires immediate corrective action in order to fix the identified issue including documentation and sign off by the auditor within 24 hours to ensure consumer safety.
The risk level may be downgraded once the rest home reports the issue is fixed.
Whether the necessary action is still in progress or if it is complete, as reported by the rest home to the relevant district health board.
Date action reported complete
The date that the district health board was told the issue was fixed.
Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits which gives an overview of the auditing process and explains what the audit reports mean.
What’s on this page?
Audit reports for this rest home’s latest audits can be downloaded below.
Full audit reports are provided for audits processed and approved after 29 August 2013. Note that the format for the full audit reports was streamlined from 16 December 2014. Full audit reports between 29 August 2013 and 16 December 2014 are therefore in a different format.
Prior to 29 August 2013, only audit summaries are available.
Both the recent full audit reports and previous audit summaries include:
- an overview of the rest home’s performance, and
- coloured indicators showing how well the rest home performed against the different aspects of the Health and Disability Services Standards.
Note: From November 2013, as rest homes are audited, any issues from their latest audit (the corrective actions required by the auditor) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.
Audit reportsAudit date: 22 January 2020
Audit type:Surveillance Audit
Audit type:Partial Provisional Audit
Audit type:Certification Audit
Audit type:Provisional Audit